Julie Marie Fultz, MD | |
8710 Manchester Rd, Saint Louis, MO 63144-2724 | |
(314) 961-3570 | |
Not Available |
Full Name | Julie Marie Fultz |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 8710 Manchester Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710274410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125.060358 (Illinois) | Secondary |
207R00000X | Internal Medicine | 2013021211 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unity Hospice Gsl, Llc | Saint louis, MO | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Total Access Urgent Care Pc | 8820171929 | 107 |
Vpa Pc | 9234041948 | 145 |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760706337 PECOS PAC ID: 9234041948 Enrollment ID: O20100818000518 |
Mailing Address | Practice Location Address |
---|---|
Julie Marie Fultz, MD 8710 Manchester Rd, Saint Louis, MO 63144-2724 Ph: (314) 961-3570 | Julie Marie Fultz, MD 8710 Manchester Rd, Saint Louis, MO 63144-2724 Ph: (314) 961-3570 |
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